| NPI | 1033452057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NE 1061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: NE 1061) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-10-15 |